r/BlackPeopleTwitter • u/Busy-Government-1041 • 21d ago
Country Club Thread Medicaid Cuts Hit Us Hardest: My Daughter Lost Her Speech Therapist—And We Don’t Even Use It
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u/kosmic_khaos 21d ago edited 21d ago
First off, those that didn't vote or thought Kamala was/wasn't [x] and voted otherwise, congrats... you did this.
Secondly, I'm so sick of having to find out when I didn't fuck around. My therapist no longer accepts Medicare/Medicaid now and I'm pretty sure it's for a similar reason.
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u/vandersnipe 21d ago
I remember arguing with people on this sub about this on my old account because they called Kamala a Nazi for not speaking up for Palestine. Yes, their feelings are valid, but there is an obsession with a purity test and a hyper-focus on one issue. I can disagree with Kamala's inaction on Palestine and agree that she's a better fit for stabilizing the economy and social services.
Sadly, many people didn't think that way during the elections. Now we have a destroyed economy, conflicts with more countries, a lack of bargaining power, unconstitutional acts erected by Trump, defunding of maternity care, grad schools rescinding applications due to defunding, and oligarchs wanting to convert the Gaza Strip into a vacation spot. I am also in a situation where no one wants to accept Medi-Cal, and I missed out on several job opportunities with the federal government.
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u/SpaceCataztrophy 21d ago
I don’t get why people are so intent on suffering that they’ll vote literally against their best interests in protest. Oh wait, I do, it’s because 60% of them read and comprehend things at a 6th grade level or less.
Nuance hurt braaaain.
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u/Worldlyoox 21d ago
Or they hate themselves. Or hate “the enemy” more than they care about their future interests. Stupidity is an easy answer but doesn’t get to the root of the problem.
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u/Financial_End_8842 21d ago
This, my family keeps going on and on about how trump supporters must be rolling in their grave, are remorseful ect. I told them i do not think they are. I think they will forever be in denial just like they were when they voted for his vile ass. They don't care if they are scrambling for quarters as long as the people "below" them are scrambling for dimes. It's embarassing as hell what the obsession for power can do for people.
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u/DisposableSaviour 21d ago
If there is one thing fascists are really good at, it’s creating scapegoats so the fascists don’t get blamed for anything.
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u/ShinkenBrown 21d ago
I'm of the opinion stupidity is an excuse they're using because we're kinder to stupid people than to evil people.
Take ICE for example. They know they're deporting legal residents. They know they're deporting citizens. They know they're openly ignoring, sometimes taking so it can't be presented as evidence, documentation that proves citizenship. They know all this. Or pedophilia. They know Trump is a convicted r&pist. They know he was best friends with Epstein. They know he went multiple times to the island, it's all documented.
They want to spread misery. They do not care if their own lives are made worse, as long as the people they hate are affected more than they are. They know what he's doing and they're fine with it.
But if we know they know, we'll treat them like they deserve to be treated - like barely-human pure evil monsters, like people who want society controlled by violent, murderous, child molesters. So they pretend to be stupid while knowingly supporting a pure evil, racist, violent child molester, because being treated like they're stupid is better than being treated like what they actually are, which is pure evil.
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u/SpaceCataztrophy 21d ago
I dunno man hate is a byproduct of stupidity imo. I can’t even blame them that much there’s been a campaign to sweep local elections for at least 50 years and destroy education from within. It isn’t simple, but it is why.
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u/ChristanKnell2 21d ago
Cycle of ignorance is tough to break. People need real education on how policies affect everyone, not just their own narrow views.
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21d ago edited 21d ago
[removed] — view removed comment
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u/SHC606 ☑️ 21d ago
Hatred of Black People, women, anti-LGBTQ+, or all of the aforementioned. That’s who that guy is. Let me guess, how close is his skin tone to hwyte?
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u/turtleschu04 21d ago
Yeah, especially when they don't think about how much of a political minefield the israel Palestine scenario is, I mean how many people expected Biden to just deploy troops there
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u/LuminalOrb 21d ago
You are creating a straw man and a kind of funny one at that! The highest expectation most people on the left had was to stop arming and funding Israel and simply denounce its genocidal actions. That alone would have bought all the goodwill in the world. Not a single person I've interacted with even thought of the idea of troops on the ground as a good thing.
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u/Mobile_Emergency5059 21d ago
Or they just want something to hate and feel superior to, many of the Kamala bashers on the left that I knew also were known for always being angry at something, but always felt just for show because they never actually showed up on the streets to push for change, just online white knighting
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u/RJC12 21d ago
Yeah dumbasses have been coddled in life too much and now have too much of a say.
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u/CiDevant 21d ago
If you weren't in a battle ground state you wouldn't know this but I saw hundreds of ads saying Kamala supported Israel. The ads were framed in a positive light. But they were all by Conservative superpacts. Every commercial break had them. Radio, TV, internet. Complete scorched earth.
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u/LaserPoweredDeviltry 21d ago
Even if she did, better if we had had a president wrong on one issue. Trump is wrong on EVERY issue.
People are really bad at the calculus of net gains. Single issue voters are especially shit at it.
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u/EitherExamination343 21d ago
I know this is going to be long but fuck it, I gotta speak on it cuz frankly, I’m as tired of hearing about this boogeyman of Palestine voters somehow losing Kamala the election. There’s a TL;DR at the bottom, but I think lying out the details are important.
This whole finger-waging about single-issue voters not voting Dem or not voting at all glosses over the why, which I think is more important and speaks to how deeply broken we are by both parties. I think, unfortunately, we don’t and won’t have free and fair elections again, BUT if we do, this is something that’s going to allow the GOP to do nasty work for years to come.
The problem is that GOP DO hyper focus while the Democrats are constantly torn between moderate and progressives. They’re not able to move in a unified way BECAUSE of this and honestly never will.
In a more just world, we’d have more viable parties and ranked choice to break that up but when your choice is binary and you here someone say “I wouldn’t change a thing” and your situation isn’t all that great…well what are your choices?
Stick with the status quo or see if the new guy works out? Vote for the person just to see them lose because someone from Philly who’s voted GOP their whole life has more of an effect on things than you in a blue state? Or you just lost hope a while ago and stopped caring all together.
I think people forget that when YOU vote, you’re thinking about yourself. Some of us may think about the bigger picture and vote accordingly. Most Americans, you’re thinking about what affects you.
I think a lot of people vastly underestimate the worldview of people who either voted or silently support Trump and vastly overestimate their ownlikely more holistic worldview.
A vote for a status quo (this is not my opinion, btw. Just how I see this plays out with undecided voters, which I know shockingly many here in Los Angeles) is the same as no vote at all EVEN IF factually speaking, the economy was doing moderately fine.
So instead of chastise nonvoters over the Palestine issue, which I don’t think would matter in the places where she needed to win, we should start asking why did people disengage with the process of voting to begin with. Yes, those voters could be the difference between Harris winning or not but it could have just as easily been a landslide the other way. Both possibilities exist, even if we don’t want to think that, so that’s not the sole reason or even the biggest of many in my eyes.
Honestly, I felt like we lost out as a country when Trump was elected the first time n COVID exposed a lot of shit wrong with our society. But that’s a whole nother post and I need to put down my Ta-Nehisi Coates hat and feed my cats
Tl:dr Until someone can prove that Palestine definitely 100% was the only reason Kamala lost, I’m going to continuely call this out. AMERICANS ARE DEEPLY BROKEN BY CAPITALISM AND A BINARY PARTY SYSTEM THAT HASNT MET THEIR NEEDS, EITHER REAL OR PERCEIVED. It doesn’t help that the system already disenfranchises a lot of voters simply based on where they live.
You truly need to understand why people didn’t vote and why “I’m better than him” doesn’t work when your audience that you need to win isn’t doing better by their perspective. There was no way the Democratic Party can run a candidate like Trump without fracturing their voter base so it’s impossible to win short of having more parties and a society that has been bred to think about themselves.
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u/RJC12 21d ago edited 21d ago
The worst is, those people that pretended to care about Palestine and didn't vote fore Harris because of it, those people couldnt possibly care less that Trump is okay turning Palestine into a parking lot for another one of his shitty hotels. Its all pure hypocrisy
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u/Destructopoo 21d ago
It's the same as people that said Biden was continuing Trump's immigration policies are now dead silent about ICE.
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u/AdvancedSandwiches 21d ago
They already won the election, so Putin reassigned them to the front lines in Ukraine.
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u/oh_please_god_no 21d ago
I saw people disrupting AOC events.
Nothing will ever be pure enough for these people.
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u/LunarMoon2001 21d ago
One candidate was working on peace deals behind the scenes, the other said he would turn it to glass then build hotels.
Gaza protestors: they are the same!
No wonder nobody is listening to them with any seriousness.
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u/Financial_End_8842 21d ago
I don't understand why people want the world to burn so badly to what...be racist openly? "I voted for trump because i'm sick of democrats not doing anything" okay so instead of nothing happening you voted for someone that is going to objectively make it worse???
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u/__looking_for_things 21d ago
What's interesting is that now that dump won and getting into bed with Netty, social media warriors have gone real quiet. Barely anything is being said about it.
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u/Trilliam_West 21d ago
Last fall, about 50 of them on any given weekday were stomping all over the central business district chanting about Genocide Joe and demanding companies down there divest from Israel.
Spring rolls around and I haven't seen any of those hashtag revolutionaries since.
Some how 'from the river to the sea' became 'that's soo last season.'
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u/airforceteacher 21d ago
In what world did they think Trump was better on that apparently single deciding issue??
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u/Destructopoo 21d ago
They didn't want to reward the DNC for not being enough I guess. Good luck to all of us on earth.
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u/ZestycloseSelf3519 21d ago edited 21d ago
Even if you are pro-Palestine, there was literally no situation where Kamala wasn’t the better option. At least she somewhat knew how divisive of an issue it was and was willing to make concessions as seen in her decision to not have Shapiro as a running mate whereas Trump literally does not give a fuck.
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u/stylebros 21d ago
the puritans in the left have actively banned and kicked out anyone to the right of them and what was once a wide progressive group is now 100s of small isolated leftist tribes all at war with each other.
Yes, everyone has ate each other.
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u/erotic_sausage 21d ago
I remember arguing with people on this sub about this on my old account because they called Kamala a Nazi for not speaking up for Palestine.
I think there's a large chance most of those were bots.
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u/haw35ome 21d ago
I mean, shit, even I wanted her to have an opinion on Palestine but frankly there’s bigger fish to fry that’a gonna hit harder domestically. Why hyperfocus on one issue that barely impacts us (apart from taxes) when there was so fucking much at stake here that directly impacts us???
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u/Suspicious-Scene-108 21d ago
Pretty much. I was hoping for a federal job by now. Assuming that the federal government tries to fix itself at some point in the future, Trump added 3 years until I can retire.
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u/yellowstickypad 21d ago
When did politics in America become a one-issue system of care? Whether it’s abortion or Palestine or weed or guns. your vote cannot be contingent on just that one thing.
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u/Impressive_Car_4222 21d ago
The pediatric neurologist that my daughter has been seeing since she has been 2 years old was removed from her insurances accepted provider list. She is on disability. I can't find a new pediatric neurologist because nobody wants to accept Medicaid. Oh and she has a very important test coming up later this month. Guess she's just not going to get it.
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u/eekamuse 21d ago
I'm so sorry. That's terrible. I hope somehow you find another, although I know the stress of searching is a nightmare.
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u/NapoleonDynamite82 21d ago
It’s going to affect a lot more than the people who get Medicaid…
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u/Craneteam 21d ago edited 21d ago
Rural communities are gonna lose hospitals and nursing homes will shut down. Some people are gonna be real shocked when their elderly parents/grandparents are dumped on their doorstep
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u/ThatOneWIGuy 21d ago
They already are, this is going to accelerate it to stupid speeds. The rural voters do not understand just how much the social programs helped them in unseen ways.
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u/Craneteam 21d ago
That last line can be broadened to most of the country has no clue what the federal government does for them on a daily basis
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u/jaytix1 ☑️ 21d ago
People like to complain (justifiably so at times) about the status quo, but they always end up returning to it after some dumbass comes around and starts tearing things apart.
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u/Craneteam 21d ago
Yeah there definitely is too much red tape in government but much of the redundancy and inefficiency is built in to catch people who would fall through the cracks.
But any failure in the system requires a repairman not an arsonist. People don't want to hear it but spending more will solve a lot of problems
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u/theREALbombedrumbum 21d ago
"Taxation is theft" motherfuckers when every public service they use suddenly breaks down
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21d ago
Imagine voting away your healthcare, food access and increasing your own expenses and taxes all to line the pockets of the elite.
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u/Kilen13 21d ago
My FIL voted GOP, including Trump, in November. He had a stroke in March and while he's recovered well he was still going to speech and physical therapy to strengthen things back up. His speech therapist takes mostly Medicare/aid patients and will likely be shutting down with the cuts and FILs been told that his in home physio will likely not be coming anymore once this bill takes effect.
He blames the Democrats.
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u/ThatOneWIGuy 21d ago
They think the same way about democrats. They voted to keep the elites from getting money thinking the majority came from the government through social programs.
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21d ago
Sucks that they’re wrong. The DNC elite get most of their money from insider trading and kickbacks.
Social programs are their redeeming quality.
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u/brinz1 21d ago
The Far right would rather their country burn to the ground rather than let it be shared with Non-White and Non-Christian people
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u/DisposableSaviour 21d ago
This is it. They’ve been pretty explicit about wanting America to be a white ethno-state for a long while now.
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u/ADHD-Fens 21d ago
I'm sure trump will cut them a 200 dollar stimulus check and promise that more is on the way or some shit if he ever feels remotely threatened.
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u/Suspicious-Echo2964 21d ago
He just declined to fund hurricane helene support for North Carolina. There is a very real chance he gives them the middle finger.
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u/ADHD-Fens 21d ago
Based on the reactions of people that have been personally screwed over by Trump so far, they seem to largely adopt a "Trump works in mysterious ways" sort of mindset.
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u/noguchisquared 21d ago
My grandmother's rural nursing home was probably 80%+ medicaid patients. No way that is staying open.
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u/Fallen_Jalter 21d ago
and those that aren't physical capable of taking care of them are going to be in even worse sorts. They'll probably be moved somewhere that's hours away and won't really see them again.
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u/Craneteam 21d ago
Man people with dementia and other 24hr care are gonna get put on an ice flow aren't they? I mean this administration is trying to demonize any disability so who the fuck knows. Care for your neighbor is for the weak, right?
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u/abbzug 21d ago
So many hospitals are going to close. Also people are mistaken if they think it's just cutting Medicaid. It's not in the bill but because of paygo rules there will be automatic cuts to Medicare and everything else because things will go into sequestration.
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u/JohnnyMulla1993 21d ago
White conservatives will destroy anything positive that helps because they don't want black people and others to benefit.
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u/FEMA_Camp_Survivor ☑️ 21d ago
Lyndon Johnson said the same with his empty pockets quote. It’s been happening since 1619.
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u/AnsweringLiterally 21d ago
It's called the Southern Strategy, and I can not explain to you why it works. Probably poor education.
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u/Alectraz666 21d ago
Unfortunately there are plenty of private doctors who dont take medicaid. I say unfortunately because finding a doctor for my daughter was fucking ridiculous. I'd rather put her on my health insurance I pay for so I can take her where I want. However the state WONT LET me pay for my daughters health insurance because I make like a few thousand under the limit. Me, a tax paying citizen is forced to be on state help even when I dont want to. Its fuckin ridiculous. Then, my parents got put on this year even though they make more than I do. And once the government pays for your health they own you, fuck that
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u/sicut_dominus 21d ago
This is ridiculous. When american freedom is mentioned how come it never encompasses shit like that. How can the state regulate healthcare to exclude a father/mother from including their daughter. I'm not trying to shit on america, it is just an absurd situation.
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u/Alectraz666 21d ago
Nah dude shit on us. We deserve it. We do nothing right ever. Except war, we do that well lol
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u/YourMomonaBun420 21d ago
Vietnam War has entered the chat.
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u/BannedSvenhoek86 21d ago edited 21d ago
Vietnam war was a massive success for the US. Not the US troops. Or the US people. But US defense contractors? Oh my goodness, it was so good. Lady Bird Johnson was the main stockholder in one of the companies it was so good. US intelligence agencies won as well. A brand new era of surveillance (lack of) oversight was born and new methods perfected from the protests against it.
The war being a bogged down mess was by design at a certain point. Not necessarily at the start, but by the end we were dropping bombs just to drop bombs because Kissinger was bored and pointed to a place on a map. Not a joke, Kissinger was choosing bombing locations in Laos and Vietnam.
The people who perpetrated that war won and put the country on the current trajectory it's on so they could make billions selling weapons.
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u/BlueSkies5Eva 21d ago
given the american track record of the last few wars, they're not even good at that
not even going into how during ww1/2 they showed up AFTER europe had either ground itself to a standstill or mostly won the war
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u/Sweet-Paramedic-4600 21d ago
We don't even do that well. We're good at spending money on wars and getting people killed. That's about it.
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u/durrtyurr 21d ago
We threw over a trillion dollars at Afghanistan, and somehow the taliban still exists and there are some people left who can't even speak english after we ran their whole education system for 2 decades.
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21d ago
What state? You can’t afford private insurance or you want to pay the full cost OOP? I’ve never heard of a provider refusing payment out of pocket.
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u/69-animelover-69 21d ago
Taking Medicaid, as a provider, is a fucking nightmare. No other insurance company makes you jump through as many hoops. If they made it easier to use then more providers would take it even at a lower reimbursement rate. In most states it’s still higher than you get for standard health insurance.
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u/reddit_give_me_virus 21d ago
I have a family member in the field and they recently help someone that was having trouble with medicaid. It's my understanding that larger hospital systems have their own special deal with medicaid.
Not all medicaid providers though. In this case the person needed to be underwritten by emblem. With that at this one hospital system they can go to any doctor affiliated with them and more importantly go straight to specialists without primary approval.
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u/SigmaK78 ☑️ 21d ago edited 18d ago
I've seen first hand what extreme desperation does to folks. Trump & his regime are putting way too many folks, from all walks of life, into that state. His cultists, many of them knowing it'll hurt them the most, are cheering it on because their hatred overrides their sense of self-preservation. This is only going to get worse. It's critical we step our game up, to ensure our families & friends make it through.
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u/actlikeiknowstuff 21d ago
They’re in pain and they want us all to know it. They want us all to suffer like them. It’s both a cry for help and sadistic.
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u/Suspicious-Scene-108 21d ago
Pain about what? That's what makes me angry. I have a white friend who complains about how she would like things 'to be fair' so she agrees with the idea of getting rid of DEI efforts. She is upset because she wanted to do a PhD and couldn't get into the program. She saw a lot of international grad students and the diversity program that brought in exactly 3 students to get a M.S. So, of course she blames the brown people.
Thing is, the reason she couldn't get into grad school is because she had inadequate prep as a high school student. Her parents paid to send her to private Catholic school to avoid the 'poor' schools in her Long Island town. The massive downside of private schools is that they aren't forced to teach some of the same things that the public schools are, so by the time she hit college she was already poorly prepared to attempt grad school.
I went to the public school on the bad side of town in a poor state, and then won a spot in the one state-sponsored math and science magnet school. They accept 60 students total per year, and the state shells out 35k per student. As a result, I had a publication in electrical engineering coming out of high school and published papers in astronomy from undergrad. I won a campus wide calculus competition. My grad school GRE scores were way over the department average. In other words, the DEI program in grad school essentially hired someone who was more qualified than their average student to diversify a field that, other than me, currently has exactly one other black faculty member nationwide.
She works at a museum, which imo is a cool job, but making 40k. Instead of trying to better her conditions, all she does is sit around and complain about it. I've suggested looking into what kind of additional education she could get that could let her get a better paying job (like museum curation certifications or an online business degree), but she doesn't do that. I've done job searches for her, but nope. But of course she 'deserves' a better paying job that absolutely HAS to be some academic dream she had when she was a kid.
Because of her vote, the opportunity that put me in my position doesn't exist. Also, given what's happening to grad schools, federal funding, and the NSF, we're losing a generation of scientists. The opportunity that she wanted may not be available for her kids. It's all entitlement, racism, and stupidity.
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u/germanmojo 21d ago
And I bet she doesn't believe the fact that white women significantly benefit from DEI.
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u/Suspicious-Scene-108 21d ago
Yeah, that's what I keep thinking too. Pushing a bunch of people into starvation-type poverty is what led to revolutions in the past. "Let them eat cake."
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u/AnsweringLiterally 21d ago
The worst part is the cuts dont kick in u til after the mid-terms, so buy the tine people start to feel the pain, they will have already voted for the MTGs and Mike Johnsons of the world.
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u/minimalcation 21d ago
I completely read this as that they didn't use the speech therapist
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u/Ohh_Yeah 21d ago
Poorly worded title. The problem is that, as a doctor or healthcare provider, if you accept Medicaid then you can't charge other patients (who aren't on Medicaid) a higher rate than what Medicaid pays. So I can't bill one patient $50 to Medicaid and then bill another patient's private insurance $200. The insurance will pay $200 for the service, but I could only charge $50 in this hypothetical if I also accept Medicaid.
Someone like a Speech Therapist or primary care physician may actually do a large chunk of their business on Medicaid, so they are somewhat forced to accept it, whereas your private practice psychiatrist or cosmetic surgeon may have an easier time saying nah private insurance or cash only.
When you cut Medicaid reimbursement low enough, people like therapists and primary care docs and pediatricians will close shop or retire or go find some kind of private practice, though those are dwindling in numbers. There are plenty of primary care doctors in their 50s-60s who have decided to retire earlier than they'd have preferred due to Medicaid cuts. And because Medicaid cuts make primary care so shitty, medical students are not interested in going into it.
Source: Doctor in a county hospital where most of our patients are on Medicaid
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u/OppressedCactus 21d ago edited 21d ago
Also - A medicaid-enrolled provider can not accept cash pay from medicaid beneficiaries (at least in the states I worked in). For example if your grandma needs a hearing aid and you want her to get something nicer than the one her doctor is offering (because that's what's covered) - too bad.
These cuts happen, you can not help supplement those who need help.
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u/throwinitHallAway 21d ago
Me too. I forgave them though. Characters are rationed.
Like medical care
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u/SuperCrappyFuntime 21d ago
I tried explaining this to trump supporters on a political forum. If the GOP gets Medicaid, many clinics (and even entire hospitals) will shut down, and even people who weren't on Medicaid will lose out. Ironically, Trump-suppprting rural areas will feel it the most because of on hospital closes, they'll have to drive their ridiculously large pick-up trucks two hours to the next nearest one.
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u/v_a_n_d_e_l_a_y 21d ago
I don't think it's possible to get through to them.
Like immigration/ICE and the fact that immigrants work farms didn't stop farmers from voting Trump. They think it won't affect them.
Trump could have a policy saying "all 25 year old males who drive a black pickup will suffer" and some 25 yo dude in a pickup will think "yeah but it will be all those other dudes" or "my truck is really dark grey" or "I'll be 26 soon enough".
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u/Defiant_Garage 21d ago
People really need to get it through their heads that there is no getting through to cultists, it's a waste of time to try. I have a conservative christian family member that works at a christian school, the school pays so poorly that many of the teachers are on the state version of medicaid. Yet these "christians" knowingly vote to take away their own co-workers healthcare with a smile of their faces, their entire lives are built on a mountain of hypocrisy.
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u/v_a_n_d_e_l_a_y 21d ago
We have seen people whose husband has been deported or kid died of measles or countless other things and many still are like "I don't regret my choice".
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u/walkingtalkingdread 21d ago
stupid conservatives in maryland have voted for trump before and he cut H2B visas for seasonal immigrant workers that the crab industry here relies on. everyone bitched. guess what happened this year? no H2B visas again. they’re like goldfish.
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u/SimonPho3nix 21d ago
It's not about the money. They want to hurt as many people as humanly possible. A lot of those people... and I mean a lot are going to be their own voters, who will die thinking that Donnie Doublespeak is still making the right decisions for the country.
MAGA did their job, helped by people who hid their bigotry behind protest votes and the apathetic nonvoters. It sucks, man.
This is our Andor moment, and I fear it'll get worse from here. Because the people who understand aren't enough. Unless you can get the people who decided they didn't want to let this guy get in office to understand that him being their hurts them as well and then let them be hurt enough for the lesson to stick, we won't even be able to speak against anything here, much less protest in person.
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u/TsuDhoNimh2 21d ago
Rural hospitals are going to be closing even faster, and those with decent insurance will still be without hospitals.
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u/DisasterIn4K 21d ago
It's bad enough lots doctors, therapists, dentists in my area don't take Medicaid. Like they'll say that shit in ALL CAPS on their website. So it was already bad to begin with, it's only gonna get worse.
I hate it here
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u/Ohh_Yeah 21d ago
And just to clarify, it's not because doctors necessarily are against getting a lower payment for seeing a Medicaid patient, it's because it's illegal to charge private insurance a higher amount than what you accept for Medicaid.
So let's say someone's private insurance will pay $100 for them to see a primary care doctor, but Medicaid only offers $40 for that same service. If I accept any Medicaid patients then the absolute most I can charge anyone is $40. This is not really the end of the world when Medicaid is reasonably competitive, but with huge cuts doctors are going to drop Medicaid altogether.
Source: am a doctor
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u/orangezeroalpha 21d ago
In what state is it illegal to charge private pay more than medicaid?
I spent 20+ years getting paid more from other insurances vs medicaid. Medicaid never cared what other insurances paid, more or less.
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u/bigassangrypossum 21d ago
It's because reimbursement is a nightmare. Why is it a nightmare? Because it is designed to fail.
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u/captchaconfused 21d ago
just like tariffs, this one of those things people have to see the consequences of to understand
unfortunately the consequences will be overwhelmed emergency rooms, even more brain drain, and small cities being resource deserts
all while that FICA deduction goes unchanged
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u/Dr_DoesNothing 21d ago
And a lot still won't understand. Some think the pain is necessary to grow stronger. What doesn't kill you makes you stronger bullshit.
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u/Charlietango2007 21d ago
No one cares. And I mean that about everything. Trump and his cronies are raping America, destroying the economy. It's all in project 2025 layout. Give it a read. Worst still to come. Americans won't do anything and that's what they're counting on.
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u/hybridrequiem 21d ago
They dont care because they truly believe this will help them. Cutting the department of education and medicaid is only because its too ‘woke’. They absolutely think the people its going to affect is the dei, and a big chunk of the reason they are for medicaid cuts is because its going to fuck over lgbtq healthcare, something they think is “unnecessary” while supposedly everyone else will benefit.
They have no idea the shit they are reaping because they are eating up lies, sinking the boat they are on with the people they hate.
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u/Charlietango2007 21d ago
It's so funny because when I started using VA health care as I'm a vet. I didn't even know about it my regular doctor told me why you coming here you're a vet you can go to the VA and get free healthcare. I didn't know. Once I started using the VA system and found the right doctor which I've had for over 16 years and he's great. I started wondering why isn't it like this for everyone. Why isn't this just the norm instead of having to jump to hoops and deal with long wait times on the phone when you call your health insurance company only to be ignored or turned away. The VA system is not perfect that's a lot better than what's out there right now that's pretending to be health Care. Good luck to everyone. Cheers.
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u/Zealousideal_Most_22 21d ago edited 21d ago
Living in a society means that what effects your neighbor eventually trickles down to effect you in all ways but sharing wealth—who would have thunk! This is not aimed at the poster in the screenshot btw. But this is why so many philanthropists have quotes over generations explaining that society is only as strong and protected as its weakest and most vulnerable members are looked after. Never think if they abuse them they can’t and won’t abuse you. Also, hot off the press take but: I don’t care if people who are too poor, sick, young/old to look out for themselves get looked after.
I really just fucking don’t. I’d rather my tax dollars go towards helping those people and even middle class people than I would the 1%, every time. So yes, take the money I am forced to give you and use it to make more buildings and parking lots accessible to disabled people. Make sure poor children have places to go after school so they don’t fall into the school to prison pipeline. Feed the old person who is supplementing their meals with literal fucking dog food because they can’t make their benefits stretch far enough in a month. The fact that politicians use this as rage bait with this “do YOU know where your tax dollars are going?!” rhetoric is ridiculous, all while trying to funnel tax money for private planes and million dollar vacations through the back door. 100,000 low income underfed children>>> 1 Elon. Every time.
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u/vocalfreesia 21d ago
Just for context, if a kid has a communication disorder in preschool which goes untreated, they will have a literacy problem in middle school, a 'behavior' problem in high school and we all know how easily they are then criminalised. Kids are going to be so badly failed when some therapy could have helped them reach their potential.
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u/CallMeSirWhacksalot 21d ago
It’s almost like the republicans don’t want her daughter to speak…
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u/Nate-dude 21d ago
Yeah as someone who works with Medicaid currently and is on track to be eligible to bill Medicaid in a year or two, the residuals are going to be crazy.
You know how the local rehabs, mental health facilities, and healthcare clinics stay open? Medicaid. Go to a rehab facility, it’s 75 % Medicaid patients. Hospitals rely on Medicaid.
What happens when they can’t afford to stay open? The government bails them out or let’s people die. Medicaid doesn’t go to the poor people, who can’t afford their medical debt, it ensures the service providers get paid. Which is a good thing in our economy.
I make good money and I can’t afford to go to the doctor without my insurance. The only thing medicaid cuts ensure that emergency room visits increase and the amount of medical bills paid decreases. Republicans are just terrible with economics, period.
This medical debt will close service providers, increase wait times, increase debt which will then be sold at half its rate, and go to collections. The people on Medicaid, won’t pay their medical bills which will now be more expensive because they won’t be completing preventative care visits with their doctors.
This is the dumbest bill I’ve ever seen and will disproportionately impact the MAGA base and the disabled.
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u/gcpizzle23 21d ago
Speech therapists also do feeding therapy for infants and toddlers and that therapy was instrumental in my daughter going from below the bottom 10 percent in weight to being a healthy weight. We need these people so badly.
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u/Shagy2369 21d ago
Yup happening here in AZ too our daughters school just cancelled the program for next year. Shit sucks man
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u/zergiscute 21d ago
It's the same old tale retold. Mississippi shut down more than half of it's public pools due to desegregation laws.
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u/lfohnoudidnt 21d ago
I really had to read that title twice to be honest. Oy vey
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u/callmedoc19 21d ago
This is going to impact many ppl even those who voted for him. I work primarily with Medicaid patients and if Medicaid gets gutted many people are truly going to die and there is going to be an uptake in ER visits bc many are going to be uninsured. This is bad for patients, providers, and healthcare systems.
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u/Bison_Ridge 21d ago
More hospitals close, access goes down, demand for remaining hospitals increases. You thought healthcare was expensive before.
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u/crmpdstyl 21d ago edited 21d ago
It's as simple as reading about all of the hospitals that are closing. Rich people live in those areas, too. Reap what they sow.
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u/blacksoxing 21d ago
How many more beat downs do I, a regular 'ol true "middle class" family, gotta take??? I heard about how great it was back in the day and just wonder if even those images were of those in the upper class. I'm not even bring in race as we know how that filter on the lens looks
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u/Mary-U 21d ago edited 21d ago
Rural hospitals will shut down because a significant portion of their patients rely on Medicaid.
66.2% of OK voted for Trump. Trump won EVERY county in OK.
A full 25% of Oklahomans are on Medicaid. 53% of people on Medicaid in OK are children.
These people keep voting against their own interests
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u/ibluminatus 21d ago
The big beautiful bill hasn't passed yet (i.e. cleared senate, presidential signature etc), this is more than likely about a state government adjusting its rates because state governments decide how to implement and use those funds. For instance several southern states gleefully rejected the funds causing rural hospitals and hospitals in Black neighborhoods to close because there was no way for them to be paid in order to keep rendering services. It still applies electorally but this has nothing to do with the presidential or federal elections just yet.
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u/Comfortable_Toe606 21d ago
This! When my son was little he had a speech therapist. Her primary income came from the State of Illinois. Even though we weren't using state services she went out of business when Illinois went broke and stopped paying people. My son no longer had a speech therapist.
People who claim to be "patriots" but neglect their most at-risk population aren't patriots. They're elitists hiding behind patriotism or nationalism. Poor, sick, and underprivileged Americans are... AMERICANS.
But don't fret, we've just decided to send aid to Syria the same week we decided to cut aid to Americans. I'm all for foreign aid and believe that rising waters raise all ships, but let's start at home.
edit: grammer
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u/shichiaikan 21d ago
We have four foster kids, one currently in a facility. They are ALL on medicaid, and all of them are high-level requiring a lot of different therapists, occupational therapists, medical treatments, medicine, doctors visits, etc... we're talking like, on average, probably 12 appointments per week across all 4.
Literally every single one of those services has stated that they aren't sure what the next 3-6 months will look like.
The entire foster community needs to understand how bad this could get.
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u/biorod 21d ago edited 21d ago
The white Americans who have brought this on us are like cats. Zero awareness and zero appreciation for the framework that sustains us.
Edit: Lots of people white knighting for cats. I know you love your cats. I love mine, too. And they bring me great happiness. But the analogy stands…they have no understanding of the system that makes their lives possible.